49D2277608 CLIA NUMBER - 1ST CARE HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 49D2277608
  • Facility Name: 1ST CARE HOSPICE, INC
  • Facility Address: 425 MAIN STREET
    SOUTH BOSTON, VA
    ZIP 24592
  • Facility Phone: 434 572-0063
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ALFRED L. BURKHOLDER III
  • NPI Number: 1518672658
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 49D2277608
LAB Type Hospice
Facility Name 1ST CARE HOSPICE, INC
Street 425 MAIN STREET
City SOUTH BOSTON
State VA
ZIP 24592
Phone 434 572-0063
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Hospice
Lab Director ALFRED L. BURKHOLDER III

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This page was last updated on: 9/29/2025